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Related Concept Videos

Dementia01:30

Dementia

Dementia is a collective term for cognitive disorders primarily affecting memory, thinking, and reasoning. It is not a specific disease but a syndrome, with Alzheimer's disease being the most common cause, accounting for approximately 60-80% of cases. Other types include vascular dementia, Lewy body dementia, and frontotemporal dementia. Dementia affects millions worldwide, particularly older adults, though it is not a normal part of aging.
The progression of dementia is generally gradual.
Dementia l: Introduction01:22

Dementia l: Introduction

Dementia is an acquired, progressive syndrome characterized by a decline in multiple cognitive domains severe enough to impair daily functioning and reduce independence. Although memory loss is a central feature, the diagnosis requires additional deficits involving language, executive function, visuospatial skills, judgment, calculation, or abstract reasoning. These cognitive impairments reflect underlying neurodegenerative or vascular processes that gradually disrupt neuronal networks...

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Related Experiment Video

Updated: Jul 3, 2026

The 4 Mountains Test: A Short Test of Spatial Memory with High Sensitivity for the Diagnosis of Pre-dementia Alzheimer's Disease
06:23

The 4 Mountains Test: A Short Test of Spatial Memory with High Sensitivity for the Diagnosis of Pre-dementia Alzheimer's Disease

Published on: October 13, 2016

Dementia and effort test performance.

Andy C Dean1, Tara L Victor, Kyle B Boone

  • 1Harbor-UCLA Medical Center, Neuropsychology Department, Torrance, CA 90509, USA. andydean1@msn.com

The Clinical Neuropsychologist
|July 9, 2008
PubMed
Summary
This summary is machine-generated.

This study found that Digit Span measures accurately identified non-feigning dementia patients. Most other effort tests showed lower accuracy in detecting poor effort in dementia.

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Dynamic Digital Biomarkers of Motor and Cognitive Function in Parkinson's Disease
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Dynamic Digital Biomarkers of Motor and Cognitive Function in Parkinson's Disease

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Last Updated: Jul 3, 2026

The 4 Mountains Test: A Short Test of Spatial Memory with High Sensitivity for the Diagnosis of Pre-dementia Alzheimer's Disease
06:23

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Published on: October 13, 2016

Dynamic Digital Biomarkers of Motor and Cognitive Function in Parkinson's Disease
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Dynamic Digital Biomarkers of Motor and Cognitive Function in Parkinson's Disease

Published on: July 24, 2019

Area of Science:

  • Neuropsychology
  • Cognitive Assessment

Background:

  • Assessing cognitive effort in dementia patients is crucial but under-researched.
  • Validating effort tests is essential for accurate dementia diagnosis and litigation contexts.

Purpose of the Study:

  • To evaluate the performance of various effort tests in a cohort of non-litigating dementia patients.
  • To identify reliable indicators of poor effort within dementia assessment batteries.

Main Methods:

  • Archival data from 214 non-litigating dementia patients were analyzed.
  • Eighteen effort indices from 12 standardized neuropsychological tests were examined.
  • Specificity of effort tests was assessed, considering Mini Mental Status Examination scores and dementia diagnoses.

Main Results:

  • Digit Span indicators (Vocabulary Minus Digit Span, 4-digit forward span time) achieved over 90% specificity.
  • Other effort tests demonstrated lower specificities, ranging from 30-70%.

Conclusions:

  • Digit Span measures show high specificity for detecting poor effort in dementia patients.
  • Adjustments to cut-offs may be necessary to maintain specificity across different dementia severities and diagnoses.